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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Related Experiment Video

Updated: Nov 11, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Implant Selection for Proximal Humerus Fractures.

Adeshina Adeyemo1, Nicholas Bertha1, Kevin J Perry1

  • 1Department of Bone and Joint, Penn State Milton Hershey Medical Center, 30 Hope Drive, Building A; PO Box 859, Hershey, PA 17033, USA.

The Orthopedic Clinics of North America
|March 23, 2021
PubMed
Summary

Proximal humerus fractures (PHF) treatment is debated, with surgery options varying. Literature guides implant selection for PHF based on patient and surgeon factors, though best practices remain unclear.

Keywords:
HemiarthroplastyIntramedullary nailLocking plateProximal humerus fractureReverse total shoulder arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomaterials Science

Background:

  • Proximal humerus fractures (PHF) represent a significant orthopedic challenge.
  • Current treatment strategies for PHF lack definitive consensus, encompassing both operative and nonoperative approaches.
  • Surgical management of PHF, particularly implant selection, remains a subject of ongoing debate.

Purpose of the Study:

  • To conduct a comprehensive literature review on operative management options for proximal humerus fractures.
  • To specifically analyze available evidence regarding implant choices in surgical treatment of PHF.
  • To provide guidance for operative decision-making and implant selection in PHF.

Main Methods:

  • Systematic literature review focusing on surgical interventions for proximal humerus fractures.
  • Analysis of studies detailing various implant types and their clinical outcomes.
  • Evaluation of patient- and surgeon-specific factors influencing treatment decisions.

Main Results:

  • Evidence supports a diverse range of treatments for PHF, with no single approach universally accepted.
  • Literature provides insights into implant selection based on fracture patterns, bone quality, and patient comorbidities.
  • Surgeon experience and preference also play a role in operative decision-making for PHF.

Conclusions:

  • Optimal surgical management and implant selection for proximal humerus fractures require careful consideration of individual patient and surgeon factors.
  • While definitive best practices are not established, existing literature aids in informed decision-making for operative treatment of PHF.
  • Further research may help clarify optimal implant strategies for specific proximal humerus fracture presentations.